sozdds wrote:Stavia, I do not have a dr appt today. I was talking about a patient of mine.
the "dds" in your username is the clue I think! And external looks and internal health can be quite deceiving as far as lipids are concerned, especially in those of us with weird genetic propensities. My dad was always thin, was a sugar addict, had high cholesterol levels, finally got on a statin (once lipitor went generic; he also had the "thrifty" gene), and within 1-2 years died suddenly of massive heart attack at age 69. No guarantees even with longer term statin use; there are definitely some benefits with statins for primary prevention of CAD but not as robust as secondary prevention. He had at least one ApoE4 allele since I am homozygous. Most of his 4 brothers have had some form of cardiovascular disease. Only person in my family with Alzheimer's is my 58 yo obese sugar eating sedentary brother. At age 56, I am concerned about both my own cognitive and cardiac health.
My LDL was in the low 180's for years while I was at a "normal" BMI and on a vegetarian diet. I took a variety of statins without side effects for a long time. Five years ago, I started to exercise more and cut back on saturated fat, lost 15 #s, and got off of statins with personal best LDL of 110. LDL P still elevated though at that time (worse case 2500). Since joining this group, I've added more plant fat, reduced cheese even more, cut out most sugar, added small amounts of salmon, hitting a 12 hour overnight fasting most of the time, and am back to my high school level of underweight. Most recent LDL 145 and LDL-P 1600. Not in your ballpark lab-wise, but proof that change can happen with lifestyle alone. You will see this with other folks here as well. Bear in mind that trigs can fluctuate quite a bit based on recent food intake.
Despite the banter and disagreements on approach, this is a community with heart and we are here to support and cheer you on along your journey.